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Credentialing Specialist – Credentials Verification Organization
Bon Secours Mercy HealthCredentialing Specialist processing healthcare provider applications and primary-source verifications for Bon Secours Mercy Health. Maintaining compliant files, provider data, and credentialing workflows.
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in credentialing processes, including Primary Source Verification and compliance with regulatory standards. Proficient in managing provider data and maintaining confidentiality while ensuring accuracy and timely processing of applications.
Highest-signal resume keywords
Credentialing CompliancePrimary Source VerificationCredentialStream SoftwareCPMSM CertificationProfessional Communication
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Application ProcessingData CollectionProvider Data ManagementCredentialing ApplicationsRegulatory Standards Knowledge
Soft Skills
Strong Communication SkillsProblem ResolutionAttention to Detail
Tools & Technologies
CredentialStream Software
Certifications & Qualifications
CPMSM CertificationCPCS Certification
Industry Keywords
CVOMedical Staff ServicesTJCNCQACMS
About the role
Key responsibilities & impact- Facilitate CVO provider application and data collection, application processing, and Primary Source Verification (PSV)
- Support organizational onboarding and offboarding processes
- Execute credentialing and re-credentialing applications and verification processes
- Ensure applications are correct and complete, resolving discrepancies according to regulatory standards
- Prepare files and documents for Medical Director, Credential Committee, and Medical Staff Office review
- Work with credentialing auditors to correct deficiencies
- Organize and maintain provider data and files
- Process applications promptly while meeting turnaround-time, accuracy, CVO, and regulatory benchmarks
- Maintain accurate provider database information
- Complete credentialing compliance checkpoints
- Maintain awareness of TJC, NCQA, CMS, and other regulatory compliance guidelines
- Communicate with colleagues, customer relations, MSO representatives, and leadership to collect missing information and resolve issues
- Maintain privacy and confidentiality
Requirements
What you’ll need- High School or GED required
- 1 year recent experience in medical staff services or a CVO setting preferred
- CPMSM or CPCS certification by NAMSS preferred
- Bachelor's or Master's degree in Business, Healthcare, or another related field preferred
- CredentialStream credentialing software training strongly preferred
- Knowledge of applicable regulatory standards and primary source verification processes
- Strong professional communication skills
- Ability to protect privacy and confidentiality
- Ability to meet turnaround-time, accuracy, CVO, and regulatory benchmarks
Benefits
Comp & perks- Competitive pay
- Incentives
- Referral bonuses
- 403(b) with employer contributions (when eligible)
- Medical, dental, vision, and prescription coverage
- HSA/FSA options
- Life insurance
- Mental health resources and discounts
- Paid time off
- Parental and FMLA leave
- Short- and long-term disability
- Backup care for children and elders
- Tuition assistance
- Professional development and continuing education support